| Sjmh Medical Practice | |
|
44405 Woodward Ave Pontiac MI 48341-5023 | |
| (248) 858-3991 | |
| (248) 858-6232 |
| Full Name | Sjmh Medical Practice |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 44405 Woodward Ave, Pontiac, Michigan |
| Authorized Official Name and Position | Jack Weiner (CEO) |
| Authorized Official Contact | 2488583140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjmh Medical Practice 44428 Woodward Ave Lower Level Pontiac MI 48341-5009 Ph: (248) 858-6144 | Sjmh Medical Practice 44405 Woodward Ave Pontiac MI 48341-5023 Ph: (248) 858-3991 |
| NPI Number | 1720180169 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720180169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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